Chief Medical Officer

🕒 May 27

🏄 California – Remote

🏄 California – Remote

💵 $395k - $530k / year

⏰ Full Time

🔴 Lead

👨‍⚕️ Medical Director

👻 Ghost score 41%

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Health Plan of San Joaquin/Mountain Valley Health Plan

WebsiteLinkedInAll Job Openings

501 - 1000 employees

Founded 1996

🏥 Healthcare

⚕️ Healthcare Insurance

Healthcare • Healthcare Insurance

Health Plan of San Joaquin/Mountain Valley Health Plan is a regional managed care organization that provides Medi-Cal (Medicaid) and Medicare Advantage coverage—including a Dual Special Needs Plan (D-SNP)—to residents in San Joaquin County and surrounding areas. The plan offers member services, pharmacy benefits, provider networks and tools, care coordination (enhanced care management), community health programs, and compliance/quality oversight (NCQA accreditation). It focuses on serving Medicaid and dually eligible populations through partnerships with local health agencies and community initiatives.

📋 Description

• As our Chief Medical Officer, under administrative direction, you will be responsible for leading efforts that will provide innovative solutions that support more affordable healthcare. • Promote personal accountability for health and wellness, and offer superior service and partnerships to the constituents served by HPSJ. • Supervises Medical Directors, Director of Pharmacy, Director of Clinical Analytics, Executive Assistant. • Identifies, develops, plans and executes short, medium and long-range strategies that drive and support corporate objectives. • Develops and oversees the implementation of medical management policies. • Ensures medical decisions are rendered by qualified personnel and not influenced by fiscal considerations. • Collaborates with the Chief Heath Services Officer on strategic planning, implementation, and oversight of Quality Improvement and Quality Management Programs. • Manages medical utilization through application of recognized medical and pharmaceutical guidelines. • Oversees the development and management of department budgets and accreditation activities to ensure compliance standards are met. • Represents HPSJ in a positive manner, serving on internal and external committees and leadership forums.

🎯 Requirements

• MD degree from an accredited medical school. • Satisfactory completion of an American Council of Graduate Medical Education accredited residency program. • At least ten years clinical experience in the practice of medicine in fields related to a managed care setting. • At least five years clinical experience in the practice of medicine with MediCal and/or Medicare populations. • Equivalent combination of education and experience. • Unrestricted, active license to practice medicine in the State of California. • Board Certification in a medical specialty. • Valid California driver license and reliable transportation or, the ability to obtain transportation on demand in the counties served by HPSJ if prohibited from getting a driver license due to a medically documented disability.

🏖️ Benefits

• Competitive salary • Robust and affordable health/dental/vision with choices in providers • Generous paid time off (accrue up to 3 weeks of PTO, 4 paid floating holidays including employee’s birthday, and 9 paid holidays) • CalPERS retirement pension program, automatic employer-paid retirements contributions, in addition to voluntary defined contribution plan • Two flexible spending accounts (FSAs) • Employer-Paid Term Life and AD&D Insurance • Employer-Paid Disability Insurance • Employer-Paid Life Assistance Program • Health Advocacy • Supplemental medical, legal, identity theft protection • Access to exclusive discount mall • Education and training reimbursement in addition to employer-paid elective learning courses. • A chance to work for an organization that is mission-driven – our members and community are at the core of everything we do. • A shorter commute – if you’re commuting from the Central Valley to the Bay Area. • Visibility and variety – you have a chance to work with people at all levels of the organization, and work on diverse projects.

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